摘要
目的:探讨急性阑尾炎患者腹腔镜手术后并发粘连性肠梗阻(AIO)的相关影响因素。方法:回顾性分析医院收治的102例急性阑尾炎患者的临床资料,根据术后是否并发AIO分为发生AIO组和未发生AIO组,并收集患者性别、年龄、病程、体质指数、病理类型等临床资料,使用单因素、多因素分析影响急性阑尾炎患者腹腔镜手术后并发AIO的相关因素。结果:单因素分析显示,性别、年龄、体质指数、白细胞计数、留置腹腔引流管与急性阑尾炎患者术后并发AIO无关,差异无统计学意义(P>0.05);病程、病理类型、腹腔残余感染与急性阑尾炎患者术后并发AIO有关,差异有统计学意义(P<0.05);Logistic回归分析显示:病程(>24h)、病理类型(坏疽伴穿孔)、腹腔残余感染(有)均是急性阑尾炎患者术后发生AIO的高危因素(P<0.05)。结论:急性阑尾炎患者腹腔镜手术后并发AIO风险较高,与病程长、坏疽伴穿孔、腹腔内残余感染均相关,临床需针对该类因素采取有效干预措施。
Objective:To explore the related factors of adhesive ileus(AIO)in patients with acute appendicitis after laparoscopic surgery.Methods:The clinical data of 102 patients with acute appendicitis treated in Hospital were retrospectively analyzed.According to whether AIO was complicated after surgery,the patients were divided into AIO group and AIO group without AIO group.Clinical data such as gender,age,course of disease,body mass index and pathological type of patients were collected.The correlation factors of AIO in patients with acute appendicitis after laparoscopic surgery were analyzed by univariate and multifactorial analysis.Results:Univariate analysis showed that gender,age,body mass index,white blood cell count and indindent peritoneal drainage tube were not related to postoperative AIO in patients with acute appendicitis,and there was no statistical significance(P>0.05).The course of disease,pathological type and residual abdominal infection were correlated with postoperative AIO in patients with acute appendicitis,and the difference was statistically significant(P<0.05).Logistic regression analysis showed that the duration of disease(>24 h),pathological type(gangrene with perforation)and abdominal residual infection(present)were all high risk factors for postoperative Ai in patients with acute appendicitis(P<0.05).Conclusion:The risk of AIO in patients with acute appendicitis after laparoscopic surgery is higher,which is related to the long course of the disease,gangrene with perforation,and residual infection in the abdominal cavity.Effective intervention measures should be taken for these factors.
作者
龚明燕
周文艳
刘媛
GONG Ming-yan;ZHOU Wen-yan;LIU Yuan(Nanchang People's Hospital of Jiangxi Province,Nanchang 330200,Jiangxi)
出处
《安徽医专学报》
2024年第1期51-53,共3页
Journal of Anhui Medical College
关键词
急性阑尾炎
腹腔镜手术
粘连性肠梗阻
影响因素
acute appendicitis
laparoscopic surgery
adhesive ileus
influencing factors、
